DIANE MARIE HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133603

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

HENDERSON

Business Name

DIANE MARIE HENDERSON

Original Issue Date

11/13/2000

Effective Date

01/26/2015

Expiration Date

03/31/2016

City

BUREAU

State

Zip

61315

County

BUREAU

Ever Disciplined

LastModifiedDate

05/20/2016